60 year old lady with sudden onset sharp pain lt knee. She was previously asymptomatic and very active. clinical exam revealed strong medial meniscal signs and MRI showed a meniscal extrusion with radial tear adjacent to root.
she was send for a week of physio and 3 days of NSAID and was reviewed . she had complete relief and had no meniscal signs and was even able to squat
After repairing every root tear I saw I sometimes think whether I over did the same. Meniscal extrusion remained in at least 3 of the 12 1 repaired in the last 2 years. Pt were definitely asymptomatic.
To avoid extrusion do we now need to start centralisation sutures like the japs.
Spare a thought guys.
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